This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
<MedicationRequest xmlns="http://hl7.org/fhir">
<id value="MedicationRequestExample"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationRequest MedicationRequestExample</b></p><a name="MedicationRequestExample"> </a><a name="hcMedicationRequestExample"> </a><a name="MedicationRequestExample-en-US"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title="Codes:{http://hl7.org/fhir/sid/ndc 0777-3105-02}">Prozac, 100 CAPSULE in 1 BOTTLE (0777-3105-02) (package)</span></p><p><b>subject</b>: <a href="Patient-BeneficiaryExample.html">JESSE SMITH Female, DoB: 1947-01-18 ( Member Number)</a></p><p><b>authoredOn</b>: 2005-06-02</p><p><b>requester</b>: <a href="Practitioner-ReferralPractitionerExample.html">Practitioner SUSAN WATSON </a></p><h3>DosageInstructions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Timing</b></td></tr><tr><td style="display: none">*</td><td></td></tr></table><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>300 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span></td></tr></table></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/ndc"/>
<code value="0777-3105-02"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/BeneficiaryExample"/>
</subject>
<authoredOn value="2005-06-02"/>
<requester>🔗
<reference value="Practitioner/ReferralPractitionerExample"/>
</requester>
<dosageInstruction>
<timing>
<extension
url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-timingcalendarpattern">
<valueCodeableConcept>
<coding>
<system value="https://codesystem.x12.org/005010/678"/>
<code value="L"/>
<display value="Monday through Thursday"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-timingdeliverypattern">
<valueCodeableConcept>
<coding>
<system value="https://codesystem.x12.org/005010/679"/>
<code value="D"/>
<display value="A.M."/>
</coding>
</valueCodeableConcept>
</extension>
</timing>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="300"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</quantity>
</dispenseRequest>
</MedicationRequest>